EKWbench

task_53Health care and social assistance

17 verifiers · 13 core · 4 secondary · 17 LLM-graded

TaxonomyHealth care and social assistanceMedical and health services managers

All trialsGPT-5.6 TerracodexTrial 03

81%

Trial reward

GPT-5.6 TerraFail

Trial 03 — 4th of 4 by reward score. This model averages 89.1% across 4 trials on this task.

  • 11/13Core verifiers passed
  • 14/17All verifiers passed
  • 2Core failed
  • 28Turns
  • 16Tool calls
  • $0.98Cost
  • 14.7mTime
  • 51kOutput tokens

Missed 2 of 13 core — unresolved_priority and routine_waitlist_edge_cases, plus 1 secondary.

core (13)

  • memo_escalationLLMPass
    Why it matters

    The escalation queue is the most urgent operational outcome because crisis transfer and same-day review must precede ordinary scheduling.

    How to pass

    Checks whether the memo presents the correct ranked escalation queue and crisis handling.

    Reads

  • memo_count_consistencyLLMPass
    Why it matters

    Incorrect headline counts can mislead the urgent-access lead about queue size and capacity pressure even when some client-level rows are correct.

    How to pass

    Checks whether the memo's aggregate pathway counts are internally consistent with the detailed routing decisions.

    Reads

  • unresolved_priorityLLMFail
    Why it matters

    Unresolved priority cases require follow-up capacity action and must not be hidden by ineligible appointments.

    How to pass

    Checks whether the memo identifies the exact unresolved priority clients and why no eligible slot can be reserved.

    Reads

    Failure mode Required Rationale or Authority Statement Omitted

    Why it failed

    The memo correctly names the two unresolved-priority clients and avoids reserving disallowed slots, but the stated reason for one of them does not match the rubric's required specific phrasing, such as Spanish-capable Medicaid SUD clinical slot or verified guardian authority.

    Justification

    The memo identifies only BH-S5Q2 and BH-E7V1 as the 2 unresolved priority clients, explains BH-E7V1 lacks verified guardian/caregiver authority, and does not reserve P-SUD-7CX, P-SUD-1FZ, or P-YTH-H5L. However, for BH-S5Q2 it states there is no open/unheld Spanish-capable Riverbend SUD slot, not explicitly a Spanish-capable Medicaid SUD slot as required by the rubric.

  • bridge_outreachLLMPass
    Why it matters

    Bridge outreach is a safety-sensitive operational requirement for priority clients whose first clinical contact is delayed or unavailable.

    How to pass

    Checks whether the memo applies the bridge-outreach rule to the correct clients.

    Reads

  • slot_eligibilityLLMPass
    Why it matters

    Slot reservations are the primary capacity outcome, and the task tests whether the model respects specialty, payer, language, modality, and consent limits.

    How to pass

    Checks whether the memo summarizes the correct high-acuity reservation set, total minutes, and excluded-capacity caveats without duplicating the workbook client-slot mapping verifier.

    Reads

  • workbook_completenessLLMPass
    Why it matters

    The operations workbook must reconcile every referral exactly once, not only clients with reserved appointments.

    How to pass

    Checks whether the workbook provides complete client-level coverage for the full batch.

    Reads

  • workbook_routing_accuracyLLMPass
    Why it matters

    Client-level pathway accuracy is the core operational reconciliation outcome across escalation, priority access, and routine/waitlist handling.

    How to pass

    Checks whether the workbook records the correct routing pathway for every client.

    Reads

  • workbook_slot_listLLMPass
    Why it matters

    Operations staff need a time-ordered reservation list and correct minute total to hold scarce access capacity safely.

    How to pass

    Checks whether the workbook lists the exact high-acuity slot set and total minutes, with appointment-start ordering treated as an advisory presentation expectation rather than a standalone failure condition.

    Reads

  • workbook_slot_pairsLLMPass
    Why it matters

    Correct client-to-slot mapping is necessary because a right-looking slot list is still unsafe if assigned to the wrong client or program.

    How to pass

    Checks whether the workbook-specific reservation table maps reserved slots to the correct clients and carries the key operational fields.

    Reads

  • workbook_outreachLLMPass
    Why it matters

    Operations staff need to distinguish clients with scheduled first clinical contacts from those requiring interim outreach or follow-up capacity action.

    How to pass

    Checks whether the workbook uses client-level flags/tabs consistently for unresolved-priority and bridge-outreach operations, including avoiding routine/waitlist contradictions.

    Reads

  • workbook_protected_contactLLMPass
    Why it matters

    The workbook is likely to drive follow-up calls, so an incorrect protected-contact flag can cause improper outreach or missed consent safeguards.

    How to pass

    Checks whether the workbook consistently records protected-contact restrictions for the correct clients across protected-contact and client-level routing fields.

    Reads

  • routine_waitlist_edge_casesLLMFail
    Why it matters

    These edge cases were a critical missing verifier dimension because each one looks superficially urgent unless the handoff correction and policy exclusion are applied.

    How to pass

    Checks whether the workbook correctly resolves the four routine/waitlist edge cases.

    Reads

    Failure mode Required Rationale or Authority Statement Omitted

    Why it failed

    All four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.

    Justification

    All four clients are routed to Routine / waitlist with no reserved high-acuity slot, and BH-V9F3, BH-N4A1, and BH-D5H0 state the expected exclusion bases. But BH-A8U2 only says "Two loaded encounters were urgent care/non-behavioral ED; no behavioral-health ED visit remains" and does not explicitly provide the rubric's required urgent-care insomnia reclassification.

  • memo_protected_contactLLMPass
    Why it matters

    The memo is an operational handoff for the urgent-access lead, so omitting protected-contact restrictions could lead to inappropriate collateral outreach even if the workbook contains the correct flags.

    How to pass

    Checks whether the memo carries forward the client-specific protected-contact restrictions required for outreach.

    Reads

secondary (4)

  • source_hierarchyLLMPass
    Why it matters

    The source-hierarchy rule prevents unfinalized care-coordination text from overriding the referral export.

    How to pass

    Checks whether the memo applies the signed-handoff hierarchy and rejects the unsigned draft note.

    Reads

  • scope_controlLLMPass
    Why it matters

    The deliverable is for operational access reconciliation, so diagnoses, medication advice, and external treatment recommendations are outside scope.

    How to pass

    Checks whether the memo stays within access-routing scope rather than giving clinical treatment advice.

    Reads

  • workbook_exclusionsLLMPass
    Why it matters

    A strong operations workbook should preserve exclusion reasons so staff do not accidentally schedule into ineligible capacity after the reconciliation.

    How to pass

    Checks whether the workbook documents why tempting capacity was not usable for unresolved clients.

    Reads

  • side_effectsLLMFail
    Why it matters

    The task asks for two reconciliation outputs only, so extra artifacts, policy changes, or capacity releases create unsafe ambiguity and violate the revised deliverable requirement.

    How to pass

    Checks whether the memo avoids materially unsolicited operational side effects and extra artifact instructions.

    Reads

    Failure mode Off-Scope Advice Added

    Why it failed

    The memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.

    Justification

    The memo is not confined to the requested reconciliation outputs: it adds a separate "6. Routine / Waitlist Disposition" section and describes an extra artifact beyond the memo ("The chronological slot list is in the workbook" / "The workbook provides..."). While it does avoid using held or QA-pending capacity, those added sections/artifact fail the rubric.

2 deliverables · what this trial produced

access_reconciliation_memo.docx15 KB

Friday Cutover Queue Reconciliation

To: Urgent-Access Lead | Batch review: 2026-05-29 11:40 CT | Prepared for the early-afternoon scheduling huddle

Decision summary: 5 escalations (1 crisis transfer; 4 same-day reviews), 5 priority clients placed into eligible clinical appointments, 2 unresolved priority clients, 4 bridge-outreach flags, and 480 reserved high-acuity clinical minutes.

The access desk reference controlled routing, capacity matching, bridge outreach, payer carve-outs, language/modality, and contact restrictions. Fifteen signed, same-client handoffs finalized within the 09:30–11:40 CT review window were applied; HN-T9Y6-DRAFT was ignored because it is unsigned. Raw triage bands were not used as dispositions.

1. Escalation Queue — Policy Ranking Order

Crisis transfer is listed first, followed by the four same-day triggers in the required A–D order. Only same-day presentations received outpatient reservations.

Rank / client

Final action

Facts driving the action

Scheduling and contact handling

1 — BH-J4K9

Crisis transfer

Signed handoff: current intent, accessible medication stockpile, and medically attended self-harm on 2026-05-27. Mobile-crisis warm transfer accepted.

Do not reserve outpatient access. Exclude from bridge count until post-crisis disposition is known. Client-only contact restriction carries forward.

2 — BH-C3T8

Same-day Trigger A

Current death/self-harm thoughts; medication means considered 18 days ago and still available; no safety plan visible.

Reserve S-ASR-3P1 — East Adult Safety Review, 15:10 CT, 45 min.

3 — BH-P8A4

Same-day Trigger B

Age 16; self-injury 6 days ago; current death/self-harm thoughts.

Reserve S-YSF-A7Q — North Youth Safety Review, 13:05 CT, 45 min. Guardian verification may remain pending for this safety review only.

4 — BH-M2N7

Same-day Trigger C

Command content to step into traffic; signed note documents no intent and no accessible means.

Reserve S-PSY-9D2 — East Psychosis Safety Review, 13:30 CT, 45 min.

5 — BH-L0R6

Same-day Trigger D

Postpartum intrusive infant-harm thoughts; sleep averaging 2.5 hours/night and reliable support not confirmed.

Reserve S-PERI-2B — Central Perinatal Rapid Review, 14:20 CT, 45 min. Spanish-capable telehealth; partner must not be contacted.

2. Priority Access Reservations

Five priority clients can be placed into eligible clinical appointments. These reservations follow the live inventory and all payer, language, modality, consent, and specialty rules.

Client

Reservation (CT)

Why the slot is eligible

Bridge outreach

BH-X1D5

P-PDT-6N4 — 2026-05-31 10:40 — 60 min

Open East post-discharge transition; Riverbend, English, and recent psychiatric-discharge match.

No — before threshold.

BH-R6W8

P-ADT-K3M — 2026-06-01 09:20 — 60 min

Open East adult telehealth; CedarCare is permitted at East and telehealth consent is confirmed.

No — before threshold.

BH-T9Y6

P-ADT-TRI — 2026-06-01 10:15 — 60 min

Open East perinatal-competent telehealth intake; BlueChoice and consent match. Unsigned draft correction was ignored.

No — before threshold.

BH-Z0B4

P-ADT-V4R — 2026-06-02 08:45 — 60 min

Open West in-person adult therapy; Northstar Select explicitly accepted and telehealth is excluded for this batch.

Yes — first clinical contact is after threshold.

BH-Q2T0

P-PER-F8Q — 2026-06-02 10:30 — 60 min

Open Central perinatal follow-up; Riverbend, English, and telehealth consent match.

Yes — first clinical contact is after threshold.

All nine high-acuity reservations (the four same-day slots plus these five priority appointments) are clinical contacts and total 480 reserved minutes. The chronological slot list is in the workbook.

3. Unresolved Priority Clients

Client

Why priority access applies

Why no eligible clinical slot can be reserved

Required next handling

BH-S5Q2

Stable moderate alcohol-withdrawal presentation; signed note requires Spanish clinical care.

No open/unheld Spanish-capable Riverbend SUD clinical slot. P-SUD-7CX matches language/payer but is held for interpreter confirmation; P-SUD-1FZ is English-only and not Riverbend.

Bridge outreach required regardless of appointment timing. Do not release or use held capacity; no appointment is reserved.

BH-E7V1

Youth self-injury about 21 days ago with no current self-harm thoughts.

P-YTH-H5L is otherwise open and matched, but routine/priority youth therapy requires verified guardian/caregiver authority.

Bridge outreach required while authority is verified. Do not reserve youth therapy or use the same-day safety exception.

4. Bridge-Outreach Queue

Bridge outreach is required for four non-crisis priority clients. No additional appointment capacity is implied by these flags.

BH-S5Q2 — stable moderate-withdrawal priority; bridge is required regardless of appointment timing, and no eligible Spanish Riverbend SUD clinical slot is available.

BH-E7V1 — no eligible clinical appointment can be reserved until guardian/caregiver authority is verified.

BH-Z0B4 — reserved clinical contact is 2026-06-02 08:45 CT, after the 2026-06-01 11:40 CT bridge threshold.

BH-Q2T0 — reserved clinical contact is 2026-06-02 10:30 CT, after the bridge threshold.

5. Protected-Contact Caveats

Client

Restriction / verification state

Carry-forward outreach instruction

BH-J4K9

Client-only contact

Do not use ordinary collateral outreach. Crisis disposition is pending; no outpatient appointment may be booked.

BH-P8A4

Guardian authority stale / not verified

School counselor may receive scheduling status only. Same-day youth safety may proceed, but verify guardian before later therapy intake.

BH-L0R6

Partner may not be contacted

Outreach only to the client directly or OB social work. Maintain Spanish clinical-language requirement.

BH-E7V1

Caregiver authority not verified; stepfather restricted

Leave no voicemail or details with stepfather. School counselor may receive scheduling status only.

6. Routine / Waitlist Disposition

No high-acuity reservation or bridge outreach is indicated for BH-V9F3 (active outside behavioral-health care seen that morning), BH-N4A1 (signed clarification rules out command psychosis), BH-A8U2 (loaded encounters reclassified as urgent care/non-behavioral ED), or BH-D5H0 (observation stay did not convert to psychiatric inpatient admission).

Operational Guardrails Applied

No blocked, held, tentative, QA-release-pending, or nonclinical group-orientation capacity was used or counted.

CedarCare was not placed into Central adult therapy; Northstar Select was placed only in an in-person slot; Spanish clinical capacity and telehealth consent were enforced.

The workbook provides the client-level routing record, all capacity dispositions, bridge flags, and the unresolved constraints for operational follow-through.

User prompt → 28 turns · 16 tool calls → final responsecodex

  1. 1systemskills instructions · Skills A skill is a set of instructions provided through a SKILL.md source. Below is the list of s…

    skills instructions

    Skills

    A skill is a set of instructions provided through a SKILL.md source. Below is the list of skills that can be used. Each entry includes a name, description, and source locator. file locators are on the host filesystem, executor package locators are owned by their execution environment, orchestrator package locators are opaque package identifiers, and custom resource locators use their provider's access mechanism.

    Available skills

    • imagegen: Generate or edit raster images when the task benefits from AI-created bitmap visuals such as photos, illustrations, textures, sprites, mockups, or transparent-background cutouts. Use when Codex should create a brand-new image, transform an existing image, or derive visual variants from references, and the output should be a bitmap asset rather than repo-native code or vector. Do not use when the task is better handled by editing existing SVG/vector/code-native assets, extending an established icon or logo system, or building the visual directly in HTML/CSS/canvas. (file: /tmp/codex-home/skills/.system/imagegen/SKILL.md)
    • openai-docs: Use for Codex models/pricing, scheduled tasks, skills, settings, setup, troubleshooting, customization, automations, and self-knowledge—including 'you,' 'your,' 'this app,' or 'this coding agent' when they refer to Codex—and for OpenAI APIs/products and ChatGPT Work. Also use for model choice/migration, prompting, SDKs, Responses, Realtime, agents, evals, and Chat/Work/Codex comparisons. Do not use for generic app/software tasks that merely mention Codex. (file: /tmp/codex-home/skills/.system/openai-docs/SKILL.md)
    • plugin-creator: Create and scaffold plugin directories for Codex with a required .codex-plugin/plugin.json, optional plugin folders/files, valid manifest defaults, and personal-marketplace entries by default. Use when Codex needs to create a new personal plugin, add optional plugin structure, generate or update marketplace entries for plugi

    … 3,403 more characters in the raw trajectory.

  2. 2systemYou are /root, the primary agent in a team of agents collaborating to fulfill the user's goals. At the start of your tur…

    You are /root, the primary agent in a team of agents collaborating to fulfill the user's goals.

    At the start of your turn, you are the active agent.
    You can spawn sub-agents to handle subtasks, and those sub-agents can spawn their own sub-agents.
    All agents in the team, including the agents that you can assign tasks to, are equally intelligent and capable, and have access to the same set of tools.

    You can use spawn_agent to create a new agent, followup_task to give an existing agent a new task and trigger a turn, and send_message to pass a message to a running agent without triggering a turn.
    Child agents can also spawn their own sub-agents.
    You can decide how much context you want to propagate to your sub-agents with the fork_turns parameter.

    You will receive messages in the analysis channel in the form:

    Message Type: MESSAGE | FINAL_ANSWER
    Task name: <recipient>
    Sender: <author>
    Payload:
    <payload text>
    

    They may be addressed as to=/root

    Note that collaboration tools cannot be called from inside functions.exec. Call spawn_agent, send_message, followup_task, wait_agent, interrupt_agent, and list_agents only as direct tool calls using the recipient shown in their tool definitions, such as to=functions.collaboration.spawn_agent, since they are intentionally absent from the functions.exec tools.* namespace. Available tools in functions.exec are explicitly described with a tools namespace in the developer message.

    All agents share the same directory. In detail:

    • All agents have access to the same container and filesystem as you.
    • All agents use the same current working directory.
    • As a result, edits made by one agent are immediately visible to all other agents.

    When calling wait_agent, prefer longer waits (minutes) to avoid busy polling.

    There are 4 available concurrency slots, meaning that up to 4 agents can be active at once, including you.

    Full-history forks (fork_turns omitted or "all") inherit the parent mod

    … 264 more characters in the raw trajectory.

  3. 3systemmulti agent mode · Any earlier instruction enabling proactive multi-agent delegation no longer applies. Do not spawn sub…

    multi agent mode

    Any earlier instruction enabling proactive multi-agent delegation no longer applies. Do not spawn sub-agents unless the user or applicable AGENTS.md/skill instructions explicitly ask for sub-agents, delegation, or parallel agent work.

  4. 4userenvironment context · /workspace bash 2026-08-20 Etc/UTC /workspace

    environment context

    cwd
    /workspace
    shell
    bash
    current date
    2026-08-20
    timezone
    Etc/UTC
    root
    /workspace
  5. 5userYou are helping the urgent-access lead at Meadowbrook Behavioral Health Access Services finish the Friday cutover queue…

    You are helping the urgent-access lead at Meadowbrook Behavioral Health Access Services finish the Friday cutover queue before the early-afternoon scheduling huddle. The EHR migration left a mixed behavioral-health referral batch in the access desk: primary-care referrals, school and obstetric handoffs, ED and observation follow-ups, inpatient discharge follow-ups, and self-referrals. Using the attached access desk reference, referral export, signed care-coordination notes, and slot inventory, determine which clients need escalation before ordinary scheduling, which priority clients can be placed into eligible appointments, which priority clients remain unresolved because no eligible clinical slot can be reserved, and which contact restrictions must be carried forward for outreach.

    Work only from the attached materials. Treat the access desk reference/capacity rules as controlling for routing, slot eligibility, bridge outreach, payer carve-outs, language/modality requirements, and contact restrictions. Treat a signed care-coordination handoff as authoritative over the raw referral export only when it identifies the same client and is finalized within the 2026-05-29 09:30-11:40 CT batch-review window; ignore draft or unsigned notes. Do not treat raw triage bands as dispositions, do not infer diagnoses, do not recommend medications, and do not invent appointment capacity. Do not use blocked, tentative, held, or QA-release-pending slots. Do not override payer, telehealth, language, guardian/caregiver authority, or collateral-contact restrictions. When facts point to more than one pathway, use the highest-action pathway supported by the attached rules and state any remaining scheduling or contact constraint.

    Produce exactly two deliverables in /workspace/output/:

    • access_reconciliation_memo.docx - a structured memo for the urgent-access lead summarizing the escalation queue, slot reservations, unresolved priority cases, bridge-outreach needs, and protected-conta

    … 404 more characters in the raw trajectory.

  6. 6I’ll reconcile the batch against the controlling access rules, then produce only the requested memo and operations workb…

    I’ll reconcile the batch against the controlling access rules, then produce only the requested memo and operations workbook. I’m using the document and spreadsheet workflows so the final files preserve the required structure and audit trail.

  7. 7Shell1

    Tool execution only — no assistant text

    Shellvia exec22k chars

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"pwd && rg --files -g '!*output*' -g '!output/**' | sed -n '1,240p'","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":20000}),
      tools.exec_command({"cmd":"sed -n '1,260p' /root/.agents/skills/docx/SKILL.md && printf '\\n--- XLSX SKILL ---\\n' && sed -n '1,320p' /root/.agents/skills/xlsx/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000})
    ]);
    text(r.map(x=>x.output).join("\n\n--- COMMAND ---\n\n"));

    Output

    Script completed
    Wall time 0.2 seconds
    Output:
    
    /workspace
    data/slot_inventory_and_roster.xlsx
    data/signed_clinical_handoff_packet.docx
    data/referral_batch_export.xlsx
    data/access_services_rules_cutover_queue.pdf
    
    
    --- COMMAND ---
    
    ---
    name: docx
    description: "Use this skill whenever the user wants to create, read, edit, or manipulate Word documents (.docx files). Triggers include: any mention of 'Word doc', 'word document', '.docx', or requests to produce professional documents with formatting like tables of contents, headings, page numbers, or letterheads. Also use when extracting or reorganizing content from .docx files, inserting or replacing images in documents, performing find-and-replace in Word files, working with tracked changes or comments, or converting content into a polished Word document. If the user asks for a 'report', 'memo', 'letter', 'template', or similar deliverable as a

    … 20,543 more characters of output in the raw trajectory.

  8. 8The controlling access rules are in a PDF, so I’m also applying the PDF workflow to extract and verify those rules befor…

    The controlling access rules are in a PDF, so I’m also applying the PDF workflow to extract and verify those rules before making any routing decisions.

  9. 9Shell1

    Tool execution only — no assistant text

    Shellvia exec20k chars

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"wc -l /root/.agents/skills/docx/SKILL.md /root/.agents/skills/xlsx/SKILL.md /root/.agents/skills/pdf/SKILL.md && sed -n '261,620p' /root/.agents/skills/docx/SKILL.md && printf '\\n--- PDF SKILL ---\\n' && sed -n '1,520p' /root/.agents/skills/pdf/SKILL.md","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":40000}),
      tools.exec_command({"cmd":"find /workspace/data -maxdepth 1 -type f -printf '%f\\n' | sort && find /workspace/output -maxdepth 1 -type f -printf '%f\\n' 2>/dev/null || true"

    … 153 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.1 seconds
    Output:
    
      590 /root/.agents/skills/docx/SKILL.md
      291 /root/.agents/skills/xlsx/SKILL.md
      314 /root/.agents/skills/pdf/SKILL.md
     1195 total
      new Bookmark({ id: "chapter1", children: [new TextRun("Chapter 1")] }),
    ]})
    // 2. Link to it
    new Paragraph({ children: [new InternalHyperlink({
      children: [new TextRun({ text: "See Chapter 1", style: "Hyperlink" })],
      anchor: "chapter1",
    })]})
    ```
    
    ### Footnotes
    
    ```javascript
    const doc = new Document({
      footnotes: {
        1: { children: [new Paragraph("Source: Annual Report 2024")] },
        2: { children: [new Paragraph("See appendix for methodology")] },
      },
      sections: [{
        children: [new Paragraph({
          children: [
            new TextRun("Revenue grew 15%"),
            new FootnoteReferenceRun(1),
            new TextRun(" using adjusted metrics"),
            new FootnoteReferenceRun(2),
          ],
        })]
      }]
    

    … 19,125 more characters of output in the raw trajectory.

  10. 10I’ve confirmed there are four source files and no pre-existing output files. I’m now extracting the rules, referrals, si…

    I’ve confirmed there are four source files and no pre-existing output files. I’m now extracting the rules, referrals, signed handoffs, and live slot inventory to build the client-level reconciliation from the authoritative sources.

  11. 11Shell1

    Tool execution only — no assistant text

    Shellvia exec37k chars

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"pdfinfo data/access_services_rules_cutover_queue.pdf && pdftotext -layout data/access_services_rules_cutover_queue.pdf -","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}),
      tools.exec_command({"cmd":"pandoc --track-changes=all data/signed_clinical_handoff_packet.docx -t plain","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":30000}),
      tools.exec_command({"cmd":"python - <<'PY'\nimport pandas as pd\nfor path in ['data/referral_batch_export.xlsx','data/sl

    … 522 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 1.6 seconds
    Output:
    
    Title:           (anonymous)
    Subject:         (unspecified)
    Keywords:        
    Author:          (anonymous)
    Creator:         (unspecified)
    Producer:        ReportLab PDF Library - (opensource)
    CreationDate:    Mon Jun  8 23:50:49 2026 UTC
    ModDate:         Mon Jun  8 23:50:49 2026 UTC
    Custom Metadata: no
    Metadata Stream: no
    Tagged:          no
    UserProperties:  no
    Suspects:        no
    Form:            none
    JavaScript:      no
    Pages:           2
    Encrypted:       no
    Page size:       612 x 792 pts (letter)
    Page rot:        0
    File size:       7822 bytes
    Optimized:       no
    PDF version:     1.4
     Meadowbrook Behavioral Health Access Services
     Cutover Queue Desk Reference - Urgent Access, Capacity, and Contact
     Handling
              Document ID          ACC-UR-0529-CUTOVER                           Applies to          EHR cutover referrals reviewed 2026-05-2

    … 36,075 more characters of output in the raw trajectory.

  12. 12Shell1

    Tool execution only — no assistant text

    Shellvia exec7k chars

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"python - <<'PY'\nfrom docx import Document\np='data/signed_clinical_handoff_packet.docx'\ndoc=Document(p)\nprint('PARAGRAPHS')\nfor i, para in enumerate(doc.paragraphs):\n    t=para.text.strip()\n    if t:\n        print(f'P{i}: {t}')\nprint('\\nTABLES',len(doc.tables))\nfor ti, table in enumerate(doc.tables):\n    print(f'\\nTABLE {ti}: {len(table.rows)} rows x {len(table.columns)} cols')\n    for ri,row in enumerate(table.rows):\n        print(' | '.join(cell.text.replace('\\n',' / ') for cell in row.

    … 1,452 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.3 seconds
    Output:
    
    PARAGRAPHS
    P0: Access Services Care-Coordination Notes Packet
    P1: Cutover queue review window: 2026-05-29 09:30-11:40 CT | Service line: urgent access desk
    P2: Finalized notes below may update the cutover referral export when the client identifier matches. Draft or unsigned notes are attachment carryover only and are not finalized clinical handoffs for routing.
    P4: End of packet.
    
    TABLES 2
    
    TABLE 0: 13 rows x 2 cols
    Note metadata | Care-coordination note
    Note ID: HN-J4K9 / Client ID: BH-J4K9 / Status: SIGNED 2026-05-29 11:18 CT / Origin: LCSW ED callback | Client stated intent to act tonight and described medication stockpile at home as accessible means. Urgent-care record from 2026-05-27 shows medically attended self-harm laceration. Mobile crisis warm transfer was accepted during call. Do not place into outpatient access until crisis disposition is known.
    

    … 5,511 more characters of output in the raw trajectory.

  13. 13The reconciliation is now determined: 5 escalations (1 crisis transfer and 4 same-day reviews), 5 reservable priority ca…

    The reconciliation is now determined: 5 escalations (1 crisis transfer and 4 same-day reviews), 5 reservable priority cases, 2 unresolved priority cases, and 4 bridge-outreach flags. I’m building the memo and workbook with the source hierarchy, slot controls, and contact restrictions carried into each client record.

  14. 14Shell1

    Tool execution only — no assistant text

    Shellvia exec1k chars

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"node -e \"try{const d=require('docx'); console.log('docx available', require('docx/package.json').version)}catch(e){console.error('docx unavailable:',e.message); process.exit(1)}\"; command -v libreoffice || true; command -v soffice || true; command -v python","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}),
      tools.exec_command({"cmd":"rg --files /root/.agents /tmp/codex-home /workspace 2>/dev/null | rg '(^|/)(validate\\.py|recalc\\.py|soffice\\.py|unpack\\.py)$' | sed -n

    … 684 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.6 seconds
    Output:
    
    docx unavailable: Cannot find module 'docx'
    Require stack:
    - /workspace/[eval]
    /usr/bin/libreoffice
    /usr/bin/soffice
    /usr/local/bin/python
    
    
    ==========
    
    /root/.agents/skills/xlsx/scripts/recalc.py
    /root/.agents/skills/xlsx/scripts/office/soffice.py
    /root/.agents/skills/xlsx/scripts/office/validate.py
    /root/.agents/skills/docx/scripts/office/soffice.py
    /root/.agents/skills/docx/scripts/office/validate.py
    /root/.agents/skills/xlsx/scripts/office/unpack.py
    /root/.agents/skills/docx/scripts/office/unpack.py
    
    
    ==========
    
    
     data/referral_batch_export.xlsx
    Referral_Export tables ['ReferralExportTable'] max 17 30
    merged []
    Batch_Context tables ['BatchContextTable'] max 7 2
    merged []
    Extract_Control tables [] max 7 2
    merged []
    
     data/slot_inventory_and_roster.xlsx
    Open_Slot_Inventory tables ['OpenSlotInventoryTable'] max 17 15
    merged []
    Capacit

    … 122 more characters of output in the raw trajectory.

  15. 15Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"mkdir -p /tmp/mbh-docx-builder && npm install --prefix /tmp/mbh-docx-builder docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":20000}),
      tools.update_plan({explanation:"Applying the controlling desk reference and signed-handoff hierarchy before generating the two requested deliverables.",plan:[{step:"Extract and reconcile source facts against access rules","status":"completed"},{step:"Create client-level routing workbook with reservation and bridge controls","status":"in_progre

    … 269 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 1.7 seconds
    Output:
    
    chunk_id: c532aa
    wall_time_seconds: 1.515319936
    exit_code: 0
    original_token_count: 22
    output: |
      
      added 22 packages in 2s
      
      1 package is looking for funding
        run `npm fund` for details
      
    
    {}
  16. 16exec1

    Tool execution only — no assistant text

    execconst patch = "*** Begin Patch\n*** Add File: /tmp/build_mbh_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+\n+OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')\n+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = '1F4E78'\n+BLUE = 'D9EAF7'\n+TEAL =

    Arguments

    const patch = "*** Begin Patch\n*** Add File: /tmp/build_mbh_workbook.py\n+from datetime import datetime\n+from pathlib import Path\n+\n+from openpyxl import Workbook\n+from openpyxl.formatting.rule import FormulaRule\n+from openpyxl.styles import Alignment, Border, Font, PatternFill, Side\n+from openpyxl.utils import get_column_letter\n+from openpyxl.worksheet.table import Table, TableStyleInfo\n+\n+\n+OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')\n+OUT.parent.mkdir(parents=True, exist_ok=True)\n+\n+NAVY = '1F4E78'\n+BLUE = 'D9EAF7'\n+TEAL =

    … 40,475 more characters of arguments in the raw trajectory.

    Output

    Script failed
    Wall time 0.0 seconds
    Output:
    
    Script error:
    apply_patch verification failed: invalid hunk at line 369, 'routing.conditional_formatting.add(f'U5:U{4 + len(routes)}', FormulaRule(formula=['U5="Yes"'], fill=PatternFill('solid', fgColor=AMBER)))' is not a valid hunk header. Valid hunk headers: '*** Add File: {path}', '*** Delete File: {path}', '*** Update File: {path}'
  17. 17exec1

    Tool execution only — no assistant text

    execconst content = String.raw`from datetime import datetime from pathlib import Path from openpyxl import Workbook from openpyxl.formatting.rule import FormulaRule from openpyxl.styles import Alignment, Border, Font, PatternFill, Side from openpyxl.utils import get_column_letter from openpyxl.worksheet.table import Table, TableStyleInfo OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx') OUT.parent.mkdir(parents=True, exist_ok=True) NAVY = '1F4E78' BLUE = 'D9EAF7' TEAL = 'DDEBF7' GREEN = 'E2F0D9' AMBER = 'FFF2CC' ORANGE = 'FCE4D6' RED = 'F4CCCC'

    Arguments

    const content = String.raw`from datetime import datetime
    from pathlib import Path
    
    from openpyxl import Workbook
    from openpyxl.formatting.rule import FormulaRule
    from openpyxl.styles import Alignment, Border, Font, PatternFill, Side
    from openpyxl.utils import get_column_letter
    from openpyxl.worksheet.table import Table, TableStyleInfo
    
    
    OUT = Path('/workspace/output/routing_reconciliation_workbook.xlsx')
    OUT.parent.mkdir(parents=True, exist_ok=True)
    
    NAVY = '1F4E78'
    BLUE = 'D9EAF7'
    TEAL = 'DDEBF7'
    GREEN = 'E2F0D9'
    AMBER = 'FFF2CC'
    ORANGE = 'FCE4D6'
    RED = 'F4CCCC'
    

    … 39,170 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  18. 18Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({"cmd":"python /tmp/build_mbh_workbook.py && ls -l output && python /root/.agents/skills/xlsx/scripts/recalc.py output/routing_reconciliation_workbook.xlsx 60","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000});
    text(r.output);

    Output

    Script completed
    Wall time 4.1 seconds
    Output:
    
    /workspace/output/routing_reconciliation_workbook.xlsx
    total 20
    -rw-r--r-- 1 root root 20184 Aug 20 01:59 routing_reconciliation_workbook.xlsx
    {
      "status": "success",
      "total_errors": 0,
      "error_summary": {},
      "total_formulas": 74
    }
    
  19. 19Shell1

    Tool execution only — no assistant text

    Shellvia exec13k chars

    Arguments

    const r = await tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='output/routing_reconciliation_workbook.xlsx'\nfor data_only in (False, True):\n    wb=load_workbook(p, data_only=data_only)\n    print('DATA_ONLY',data_only,'sheets',wb.sheetnames)\n    ws=wb['Summary']\n    print('summary metrics:', [(ws.cell(r,1).value,ws.cell(r,2).value) for r in range(10,20)])\n    rd=wb['Routing Decisions']\n    print('routes:', [(rd.cell(r,2).value,rd.cell(r,6).value,rd.cell(r,17).value,rd.cell(r,18).value,rd.cell(r,20).value,rd.cell(r,21).value) for r

    … 275 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.6 seconds
    Output:
    
    DATA_ONLY False sheets ['Summary', 'Routing Decisions', 'Slot Inventory Review']
    summary metrics: [('Escalation queue (crisis + same-day)', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Crisis transfer")+COUNTIF(\'Routing Decisions\'!$F:$F,"Same-day clinician review")'), ('Crisis transfers', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Crisis transfer")'), ('Same-day clinician reviews', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Same-day clinician review")'), ('Priority-access clients', '=COUNTIF(\'Routing Decisions\'!$F:$F,"Priority access")'), ('Priority clients with a reserved clinical appointment', '=COUNTIFS(\'Routing Decisions\'!$F:$F,"Priority access",\'Routing Decisions\'!$T:$T,"Reserved")'), ('Unresolved priority clients', '=COUNTIF(\'Routing Decisions\'!$T:$T,"Unresolved — no eligible clinical slot")'), ('Bridge-

    … 12,237 more characters of output in the raw trajectory.

  20. 20The workbook is complete and formula-checked with zero errors. I’m generating the lead memo now, using the same reconcil…

    The workbook is complete and formula-checked with zero errors. I’m generating the lead memo now, using the same reconciled decisions and explicitly preserving the no-contact, language, payer, and capacity constraints.

  21. 21exec1

    Tool execution only — no assistant text

    execconst content = String.raw`const fs = require('fs'); const { AlignmentType, BorderStyle, Document, Footer, Header, HeadingLevel, LevelFormat, PageNumber, Packer, Paragraph, ShadingType, Table, TableCell, TableRow, TextRun, VerticalAlign, WidthType, TabStopType, TabStopPosition, } = require('/tmp/mbh-docx-builder/node_modules/docx'); const output = '/workspace/output/access_reconciliation_memo.docx'; const CONTENT_WIDTH = 10800; const COLORS = { navy: '1F4E78', blue: 'D9EAF7', green: 'E2F0D9', amber: 'FFF2CC',

    Arguments

    const content = String.raw`const fs = require('fs');
    const {
      AlignmentType,
      BorderStyle,
      Document,
      Footer,
      Header,
      HeadingLevel,
      LevelFormat,
      PageNumber,
      Packer,
      Paragraph,
      ShadingType,
      Table,
      TableCell,
      TableRow,
      TextRun,
      VerticalAlign,
      WidthType,
      TabStopType,
      TabStopPosition,
    } = require('/tmp/mbh-docx-builder/node_modules/docx');
    
    const output = '/workspace/output/access_reconciliation_memo.docx';
    const CONTENT_WIDTH = 10800;
    const COLORS = {
      navy: '1F4E78',
      blue: 'D9EAF7',
      green: 'E2F0D9',
      amber: 'FFF2CC',

    … 15,805 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  22. 22Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({"cmd":"node /tmp/build_mbh_memo.js && ls -lh output/access_reconciliation_memo.docx && python /root/.agents/skills/docx/scripts/office/validate.py output/access_reconciliation_memo.docx","workdir":"/workspace","yield_time_ms":30000,"max_output_tokens":30000});
    text(r.output);

    Output

    Script completed
    Wall time 1.8 seconds
    Output:
    
    /workspace/output/access_reconciliation_memo.docx
    -rw-r--r-- 1 root root 15K Aug 20 02:00 output/access_reconciliation_memo.docx
    
    Paragraphs: 0 → 98 (+98)
    All validations PASSED!
    
  23. 23The memo has passed structural DOCX validation. I’m doing a final visual pass and verifying the final folder contains on…

    The memo has passed structural DOCX validation. I’m doing a final visual pass and verifying the final folder contains only the two requested deliverables.

  24. 24Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await tools.exec_command({"cmd":"render_dir=$(mktemp -d /tmp/mbh-memo-render.XXXXXX) && libreoffice --headless --convert-to pdf --outdir \"$render_dir\" output/access_reconciliation_memo.docx >/tmp/mbh-lo.out 2>/tmp/mbh-lo.err && pdfinfo \"$render_dir/access_reconciliation_memo.pdf\" | rg 'Pages|Page size' && pdftoppm -png -r 120 \"$render_dir/access_reconciliation_memo.pdf\" \"$render_dir/page\" && find \"$render_dir\" -maxdepth 1 -type f -printf '%f\\n' | sort && printf '%s\\n' \"$render_dir\"","workdir":"/workspace","yield_time_ms":3

    … 54 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 1.9 seconds
    Output:
    
    Pages:           2
    Page size:       612 x 792 pts (letter)
    access_reconciliation_memo.pdf
    page-1.png
    page-2.png
    /tmp/mbh-memo-render.WVxYbr
    
  25. 25exec1

    Tool execution only — no assistant text

    execconst imgs = await Promise.all([ tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-1.png","detail":"high"}), tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-2.png","detail":"high"}) ]); for (const img of imgs) image(img.image_url, img.detail);998k chars

    Arguments

    const imgs = await Promise.all([
      tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-1.png","detail":"high"}),
      tools.view_image({"path":"/tmp/mbh-memo-render.WVxYbr/page-2.png","detail":"high"})
    ]);
    for (const img of imgs) image(img.image_url, img.detail);

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    

    … 997,162 more characters of output in the raw trajectory.

  26. 26Shell1

    Tool execution only — no assistant text

    Shellvia exec

    Arguments

    const r = await Promise.all([
      tools.exec_command({"cmd":"find output -maxdepth 1 -type f -printf '%f\\n' | sort && python - <<'PY'\nfrom pathlib import Path\nimport zipfile\nfor path in sorted(Path('output').glob('*')):\n    with zipfile.ZipFile(path) as z:\n        print(path.name, 'zip_integrity=', z.testzip() or 'ok', 'entries=', len(z.namelist()))\nPY","workdir":"/workspace","yield_time_ms":10000,"max_output_tokens":10000}),
      tools.exec_command({"cmd":"python - <<'PY'\nfrom openpyxl import load_workbook\np='output/routing_reconciliation_workbook.xlsx

    … 757 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.6 seconds
    Output:
    
    access_reconciliation_memo.docx
    routing_reconciliation_workbook.xlsx
    access_reconciliation_memo.docx zip_integrity= ok entries= 26
    routing_reconciliation_workbook.xlsx zip_integrity= ok entries= 19
    
    
    Workbook summary verified: {'Escalation queue (crisis + same-day)': 5, 'Crisis transfers': 1, 'Same-day clinician reviews': 4, 'Priority-access clients': 7, 'Priority clients with a reserved clinical appointment': 5, 'Unresolved priority clients': 2, 'Bridge-outreach flags': 4, 'Restricted-contact flags': 4, 'High-acuity clinical slots reserved': 9, 'Reserved clinical minutes': 480}
    
  27. 27exec1

    Tool execution only — no assistant text

    execconst result = await tools.update_plan({explanation:"Both requested deliverables were created, structurally checked, formula-recalculated, and visually reviewed.",plan:[{step:"Extract and reconcile source facts against access rules","status":"completed"},{step:"Create client-level routing workbook with reservation and bridge controls","status":"completed"},{step:"Create urgent-access reconciliation memo","status":"completed"},{step:"Validate both final deliverables and confirm output folder contents","status":"completed"}]}); text(typeof result === "string

    Arguments

    const result = await tools.update_plan({explanation:"Both requested deliverables were created, structurally checked, formula-recalculated, and visually reviewed.",plan:[{step:"Extract and reconcile source facts against access rules","status":"completed"},{step:"Create client-level routing workbook with reservation and bridge controls","status":"completed"},{step:"Create urgent-access reconciliation memo","status":"completed"},{step:"Validate both final deliverables and confirm output folder contents","status":"completed"}]});
    text(typeof result === "string

    … 40 more characters of arguments in the raw trajectory.

    Output

    Script completed
    Wall time 0.0 seconds
    Output:
    
    {}
  28. 28Completed and validated the two requested deliverables: - [Access reconciliation memo](/workspace/output/access_reconcil…

    Completed and validated the two requested deliverables:

    • Access reconciliation memo
    • Routing reconciliation workbook

    Summary: 5 escalations (1 crisis, 4 same-day), 5 placed priority clients, 2 unresolved priority clients, 4 bridge-outreach flags, and 480 reserved clinical minutes.

2 failure modes across 3 verifier failures

  1. 1Required Rationale or Authority Statement OmittedView on Failure Modes ↗Presentation and Communication2 failures

    Description

    Is the underlying decision correct or substantially present, but the memo fails to state a required rule hierarchy, source-governance principle, item-specific reason, signed-term basis, or operating condition?

    Failure evidence · per affected verifier

    • The memo correctly names the two unresolved-priority clients and avoids reserving disallowed slots, but the stated reason for one of them does not match the rubric's required specific phrasing, such as Spanish-capable Medicaid SUD clinical slot or verified guardian authority.

    • All four clients are correctly routed to Routine/waitlist with no escalation, but the required item-specific clinical exclusion basis is missing or stated too generally for at least one of the four clients in every trial.

  2. 2Off-Scope Advice AddedView on Failure Modes ↗Presentation and Communication1 failure

    Description

    With the requested reconciliation or analysis otherwise present, does the final communication add unrequested clinical, treatment, monitoring, referral, release, or operational workflow directives?

    Failure evidence · per affected verifier

    • The memo correctly covers the requested reconciliation categories but also adds unrequested operational directives, such as tasking the capacity desk or a caseworker, clinical care instructions, or extra sections beyond the required reconciliation outputs.